Permit Elec for HVAC 695 Atlantic #29 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000827 Date 7/02/12
Property Address . . . . . . 695 ATLANTIC BLVD
Tenant nbr, name . . . . . . 29 THE HAIR SPOT
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
EXTEND CIRCUIT TO NEW HVAC SPLIT SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ELITE PRO REALTY LLC ADVANCED WIRING SERVICES INC.
P.O. BOX 50664 3061 PHILLIPS HIGHWAY ST 101
JAX BEACH FL 32240 JACKSONVILLE FL 32207
(904) 744-4446
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . WIRE FOR NEW HVAC
Permit Fee . . . . 62 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/29/12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOBADDRESS: —(0qg - 2-q AT) &.-17'1'c- I?lvj. PERMIT# /o2 —JA� 2_
JEA INFORMATION REQUIRED ON ALL PERMITS 10 D AMPS 7y ci VOLTS PHASE
VALUE OF WORK$
NEW SERVICE [9 Overhead Fj Underground D Underground up Pole
Residential (Main) Service
I �'0-100 amps i 101-150amps I 151-200amps 1 !._amps # of Meters
kommercial(Main) Service
[10-100 amps 11 51-200amps _amps 11CT Service amps
Conductor Type Size
i �'Multi-Family(Main) Service
1 10-100 amps 1101-150amps i 151-200amps amps 4 of Unit Meters
Temporary Pole amps
SERVICE UPGRADE I '_amps I ! CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
� !100amps [1150amps I :200amps � ii -amps i !CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
I Swirnrning Pool I-� Sign � !Smoke Detectors_Qty I �Transformers KVA F-�Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
lReplace Burnt/Damaged Meter Can I �Safety Inspection 'I I Panel Change CH to UG
E2y-
-,7,-� T �10 e-y-Va 7
!Other: EX-re-&
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name TfA- FfA-(V'f SPO-1 Phone Number
Electrical Company 0 !�e r V,t-� s , Z Office Phone q0V-'7V'111q,14, Fax
Co. Address: 3oot C�wy -5a,i,e 0 t City:24' CIL"O"V t�f- State Ift, Zip 3-�-ZOI
License Holder(Print): C-L) Criiii—, State Certification/Registration erza)/0 S-Z
Notarized S 0PIPMWWAarr
MY COMMISSION#EE 057349 a
1*S
EXPIRES:May 21
day of 20
Bonded Tin Nolary Public Lawwo nd subscribed before me this
Signature of Notary Public
w-r-W